Montag's surgeon, Dr. Frank Ryan, defends his patient's decision, saying its not uncommon in Hollywood.
"We're getting literally hundreds of calls from patients who want the Heidi Montag bombshell," he said.
But why so much plastic surgery?
"I disagree that it is that much plastic surgery," said Ryan. "These are little tweaks and things we did ... these were all kind of small things. ..."
Montag said she liked the change. "I see ... improvement," she said. "I think that it sounds crazier than it looks."
Her recovery was difficult, Montag said.
"In a way that when your looks are really taken away after surgery, it looks like you were in a really...bad car accident or, you know, I couldn't even look in the mirror for weeks," she said. "I had Spencer cover up all the mirrors, so I'm -- getting used to my reflection. ... It's honestly indescribable. It was-- it was a little bit shocking, just 'cause I had so much done that I think my body was just a little overwhelmed."
We asked Montag about her influence on young girls who might read her comments on her breast size: "Triple D isn't big enough."
"Well, my main message is that beauty is really within," Montag said. "I'm also in a different industry than they are. You know, I'm in a limelight. I'm in a different industry. And I have to do things that are gonna make me happy at the end of the day."
Montag's new album is ironically titled "Superficial." She said she's gone broke pouring her life savings into an independently produced music album, including hiring a producer who worked with Michael Jackson. She said she believes she has the same talent as the King of Pop.
"I have all the -- the same producers. You know, I have all the same [producers], so the quality of the music is just as good. It doesn't matter if you like me or not," she said.
But in our interview the popstar hopeful declined to sing.
"I'd rather not," Montag said. "I just had a lot of surgery. My jaw is very delicate."
She said she didn't get plastic surgery just to promote the album.
"Oh, no," she said. "That's all God's timing."
Singing career aside, Montag is talented when it comes to perpetuating her own fame. She's not bashful about what made her famous.
"I think it's an honor to get a paycheck in any way, shape, or form," she said, before recanting her words. "Let me clarify. For me, I'd rather be getting a paycheck for being famous for being famous than working at my parents' restaurant."
It remains to be seen whether what Montag did to her body will help her get the success she's after.
"Why is everybody getting surgery?" she said. "You know, it goes back to the beginning of Hollywood. And I think one of the keys here is, honesty is very important. I could have easily swept this under the rug, never commented about it, never said anything about it. But that would be a lie."